Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR Vaccine Influenza Trivalent (Riv3) Rdna Antibiotic/Preservative Free Im
Low
$11
Average
$194
Median
$119
High
$1.0k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 9.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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71 hospital rates
iThe hospitals that file a Phcs rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 3 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Bon Secours Community Hospital Jervis, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 5 | Bon Secours Community Hospital Jervis, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 6 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $392 | $392 | — | — | — | $392 – $392 |
| 7 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 9 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 11 | Durant HMA LLC Durant, OK facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Durant HMA LLC Durant, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $392 | $392 | — | — | — | $392 – $392 |
| 14 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 16 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 17 | Good Samaritan Hospital Suffern, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 18 | Good Samaritan Hospital Suffern, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 19 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 21 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 22 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 23 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $796 | $796 | — | — | — | $796 – $796 |
| 24 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $796 | $796 | — | — | — | $796 – $796 |
| 25 | Little Falls Hospital Falls, NY professional · fee schedule · inpatient | 6 | $110 | $110 | — | — | — | $110 – $110 |
← Payers reporting CPT 90673 · Snapshot 20261111T120946Z-9134e7f7